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General NPI Number Information
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NPI Number | 1851295513
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Entity Type | Organization
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Legal Business Name | THE CAPABLE COAST
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 804 HILLCREST ST
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City | EL SEGUNDO
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State | CA
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Zip | 90245-2024
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Country | US
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Telephone | 203-856-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 214 MAIN STREET #469
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City | EL SEGUNDO
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State | CA
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Zip | 90245
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER AND OCCUPATIONAL THERAPIST
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Name | ROXANNE CHESS PIERSON
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Credential | OTR/L
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Telephone | 203-856-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NULL
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